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ICD-10 Guide
ICD-10 CodesH93.22

H93.22

Billable

Diplacusis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H93.22 is a billable code used to indicate a diagnosis of diplacusis.

Key Diagnostic Point:

Diplacusis is a type of auditory perception disorder characterized by the perception of a single sound as two distinct pitches or tones. This phenomenon can occur in one or both ears and is often associated with hearing loss or damage to the auditory system. Patients may describe hearing a note played on a musical instrument as two different pitches, which can be disorienting and affect communication. Diplacusis can arise from various underlying conditions, including otitis media, acoustic trauma, or age-related hearing loss. The condition may also be linked to vestibular disorders, where balance and spatial orientation are affected. Diagnosis typically involves audiometric testing to assess hearing acuity and pitch perception. Management may include hearing aids, auditory training, or addressing the underlying cause, such as treating an ear infection. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Overlap with other auditory disorders
  • Need for comprehensive audiometric testing
  • Potential for co-existing conditions affecting hearing

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify laterality (unilateral vs. bilateral)
  • Misdiagnosis due to overlapping symptoms with other hearing disorders
  • Lack of supporting audiometric test results

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, patient history, and symptom description.

Common Clinical Scenarios

Patients presenting with hearing difficulties, tinnitus, or balance issues.

Billing Considerations

Ensure documentation reflects the complexity of auditory perception disorders.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcomes.

Common Clinical Scenarios

Assessment of patients with hearing loss and diplacusis symptoms.

Billing Considerations

Focus on precise audiometric data to support diagnosis.

Coding Guidelines

Inclusion Criteria

Use H93.22 When
  • According to ICD
  • 10 guidelines, H93
  • 22 should be used when a patient presents with diplacusis, particularly when it is a primary diagnosis
  • Documentation must support the diagnosis with audiometric findings and any associated conditions

Exclusion Criteria

Do NOT use H93.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used to evaluate patients presenting with diplacusis symptoms.

Documentation Requirements

Detailed results of audiometric testing and patient history.

Specialty Considerations

Otolaryngologists and audiologists should ensure thorough documentation to support the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of auditory disorders, including diplacusis, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory disorders, including diplacusis, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of auditory disorders, including diplacusis, improving the accuracy of diagnoses and treatment plans.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What is the primary cause of diplacusis?

Diplacusis can be caused by various factors, including auditory nerve damage, ear infections, or age-related changes in hearing. It is essential to evaluate the underlying cause to manage the condition effectively.